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Boise, Idaho 83720-0036. RE: Idaho State Plan Amendment (SPA) Transmittal Number (TN) #09-011. Dear Mr. Armstrong: The Centers for Medicare & Medicaid Services' (CMS) Seattle Regional Office has. completed its review of State Plan Amendment (SPA) Transmittal Number #09-0 II. This. amendment will bring the state into compliance with CMS-2237-F regarding Targeted Case. Management for the adults with Mental Illness. This SPA is approved effective July 1,2009. If you have any additional questions or require any further assistance, please contact me or. have your staff contact Priya Helweg at (206) 615-2598 or Priya.Helweg@cms.hhs.gov.